Deficiency Records for Candlewood Valley Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Candlewood Valley Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-25 | 2023-10-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-22 | 2022-04-22 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-04-22 | 2022-04-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-20 | 2021-12-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-10-20 | 2021-12-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-20 | 2021-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-20 | 2021-12-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-10-20 | 2021-12-01 | N |
| Keep all essential equipment working safely. | Health | 2021-10-20 | 2021-12-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-20 | 2021-12-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-20 | 2021-12-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-20 | 2021-12-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-20 | 2021-12-01 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-23 | 2019-07-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-23 | 2019-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-07-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-09 | 2018-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-09 | 2018-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-09 | 2018-04-09 | N |
